What is a disadvantage to building your own in-house software solution?

• A. Fewer software bugs incurred
• B. Shorter development time
• C. Training must be developed in house
• D. A and B

Answer: (C)

Starting information architecture around a custom in-house system, you own every aspect of the build and its ongoing life, including user adoption. A real drawback is that training for end users and IT staff must be developed in-house. This means you have to design curricula, create tutorials and job aids, and plan for ongoing refreshers whenever the software changes. All of this requires time, budget, and people, and it must be maintained as updates roll out, which adds ongoing cost and complexity—an especially important consideration in healthcare where correct use is critical for safety and compliance.

The other statements describe outcomes that aren’t drawbacks: fewer bugs would be a benefit of good engineering, and shorter development time is not typically a consequence of building something in-house.